Provider Demographics
NPI:1669001392
Name:IMO, CHINONYE SHARON (MD)
Entity Type:Individual
Prefix:DR
First Name:CHINONYE
Middle Name:SHARON
Last Name:IMO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2650 RIDGE AVE.
Mailing Address - Street 2:LABOR & DELIVERY
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-1718
Mailing Address - Country:US
Mailing Address - Phone:847-570-2860
Mailing Address - Fax:847-570-2898
Practice Address - Street 1:2650 RIDGE AVE.
Practice Address - Street 2:LABOR & DELIVERY
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-1718
Practice Address - Country:US
Practice Address - Phone:847-570-2860
Practice Address - Fax:847-570-2898
Is Sole Proprietor?:No
Enumeration Date:2020-04-04
Last Update Date:2024-02-27
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Provider Licenses
StateLicense IDTaxonomies
IL036167841207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology